101 Royal Hill

Updated 8 March 2018

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection checked whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

This inspection was carried out by one inspector on the 13 February 2018 and was unannounced. We looked at records, including two people’s care records, staff recruitment and training records and records relating to the management of the service. People using the service had complex communication needs and were not able to verbally communicate their views to us, so we used the Short Observational Framework for Inspection (SOFI). SOFI is a specific way of observing care to help us understand the experience of people who could not talk with us. We spoke with three members of staff, the home manager, the service manager and a member of the provider’s human resources team. We also spoke to three people’s relatives and asked them for their views about the service.

Before the inspection we looked at the information we held about the service including notifications they had sent us. A notification is information about important events which the service is required to send us by law. The provider also completed a Provider Information Return (PIR). The PIR is a form that asks the provider to give some key information about the service, what the service does well and improvements they plan to make. The PIR also provides data about the organisation and service. We used this information to help inform our inspection planning.

Updated 8 March 2018

101 Royal Hill is a residential care home that provides accommodation and care for up to seven people with learning disabilities. At the time of the inspection the home was providing care and support to seven people. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

At our last inspection of this service on 22 February 2016 the service was rated Good. At this inspection we found the service remained Good. The home demonstrated they continued to meet the regulations and fundamental standards.

At the time of our inspection the home did not have a registered manager in post. However there was a manager in post and they were in the process of applying to the CQC to become the registered manager for the home. They were knowledgeable about the requirements of a registered manager and their responsibilities with regard to the Health and Social Care Act 2014.

There were safeguarding and whistle blowing procedures in place and staff had a clear understanding of these procedures. We observed and staff told us there was enough staff on duty to meet people’s needs. Appropriate recruitment checks were carried out before staff started working at the home. Action was taken to assess any risks to people. People were receiving their medicines as prescribed by health care professionals.

Staff had the knowledge and skills required to meet people needs. The manager had a good understanding of the Mental Capacity Act 2005 and staff acted according to this legislation. People were encouraged to eat healthy meals and to cook for themselves. Staff monitored people’s health and welfare and where there were concerns people were referred to appropriate health professionals.

People’s needs were assessed and care plans included detailed information and guidance for staff about how their needs should be met. People’s care records included individual communication profiles that recorded their methods of communicating with staff. People were supported to practice their religion and attend places of worship. The home had a complaints procedure in place and this was available in a format that met their needs.

The provider recognised the importance of regularly monitoring the quality of the service they provided to people. Regular health and safety, medicines, fire safety and incidents and accidents audits were being carried out at the home. The home took into account people’s views of the service through residents meetings. Staff said they enjoyed working at the home and they received good support from the registered manager.